Provider Relations Supervisor
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Job Description
Provider Relations Supervisor leading provider onboarding, education, issue resolution, and network operations. Supporting GDIT’s World Trade Center Health Program through metrics, compliance, and cross-functional collaboration.
Responsibilities:
- Develop provider relations strategy and annual operating plans with the Provider Services Lead
- Translate organizational goals into targets, roadmaps, KPIs, and staffing/resource plans
- Lead, coach, evaluate, and develop Provider Network Representatives
- Establish escalation pathways, service levels, templates, and communication standards
- Oversee account management for healthcare delivery organizations and independent providers
- Resolve complex provider issues and improve provider satisfaction
- Direct provider onboarding, education, webinars, portal training, EFT setup, credentialing coordination, and directory validation
- Standardize onboarding checklists, timelines, and handoffs
- Oversee issues across claims, credentialing, enrollment, provider data, contracts, and portal support
- Manage queues, case aging, blockers, work allocation, and SLA adherence
- Lead root-cause analysis and corrective actions
- Develop dashboards and routine performance reporting
- Drive continuous improvement and implement automation or templates
- Use data insights to prioritize outreach, education, and process enhancements
- Partner with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT
- Lead provider meetings and cross-functional workgroups
- Ensure compliance, audit-ready documentation, confidentiality, and corrective-action remediation
- Communicate status, risks, and recommendations to executive stakeholders
Requirements:
- 3+ years of related experience
- Skills in account management, key performance indicators (KPI), operational metrics, and problem solving
- Quality compliance
- MBI (T2) public trust requirement
- Ability to work remotely
- Less than 10% travel required
- US citizenship is not required
- Scheduled availability for 40 hours per week
Benefits:
- Medical plan options, some with Health Savings Accounts
- Dental plan options
- Vision plan
- 401(k) plan with pre- and post-tax contributions up to IRS annual limits and company match
- Full flex work weeks where possible
- Paid vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
- Short- and long-term disability benefits
- Life insurance
- Accidental death and dismemberment insurance
- Personal accident insurance
- Critical illness insurance
- Business travel and accident insurance
- Identity verification process using advanced biometrics and artificial intelligence
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